Hearing voices—also known as auditory hallucinations—involves perceiving speech or sounds that others do not hear. For some, this is distressing or disruptive; for others, it may be neutral or even comforting. It is a recognised psychological experience, not a sign of weakness or failure.
“The voices weren’t always loud—but they were constant. I couldn’t switch them off or explain them to anyone without feeling ashamed.”
Hearing voices is more common than many people realise. It can occur in the context of psychosis (such as schizophrenia), trauma, sleep problems, or intense stress—but not all voice-hearing is linked to a mental illness. Some people live well with voices and never seek help; others find the voices intrusive, critical, or frightening, especially if they issue commands or reinforce shame.
Undiagnosed adults may hide the experience out of fear of stigma or losing control. Voice-hearing may begin gradually or after a traumatic event, and often coexists with anxiety, paranoia, dissociation, or depression. The meaning, tone, and impact of voices vary widely. Psychological therapy can help people understand their experience and find ways to reduce distress, improve functioning, and reclaim control.
“Once a person feels safe enough to talk about their voices, everything begins to shift. Understanding replaces fear—and healing can begin.”
At Bloomfield Health, we offer a compassionate, non-judgemental approach to understanding and working with voice-hearing. Our clinicians begin with a careful assessment to understand the content, meaning, and emotional impact of the voices. We use trauma-informed cognitive behavioural therapy for psychosis (CBTp), and also draw on compassion-focused therapy and narrative approaches. We also offer support for co-occurring trauma or dissociation, and can support partners or family of people suffering with distressing voices. Our aim is not to silence voices at all costs—but to reduce distress, build understanding, and support autonomy.
Not necessarily. Some people with schizophrenia do experience auditory hallucinations but voice-hearing can occur in many contexts—including trauma, stress, or even without mental illness.
No. Some are neutral or even positive. It’s the emotional impact and meaning that guide whether treatment is needed.
If voices are commanding or dangerous, it’s important to seek help. We offer urgent support and safety planning if needed.
Yes. CBT for psychosis and trauma-informed therapy approaches can reduce distress, improve control, and change how you relate to voices.
No. We work collaboratively. Medication may help some people, but it’s never the only option. We can discuss medication options with you during your assessment.
We will listen without judgement and take you seriously. Talking about voices does not mean you lose control or rights—it’s the first step toward support.
Yes. Many people who hear voices have histories of psychological trauma (e.g., abuse, neglect, bullying). We explore this gently and respectfully.
Sometimes. But even when they don’t, their power and the distress they cause can reduce significantly with the right support.